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Learn how BMW sped up its customer communications

“Using FICO Customer Communication Services, we get a
secure, highly flexible, robust solution with a low cost of entry, and
we can leverage the expertise of a valued partner, which allows
our in-house maintenance support to focus on other key internal
priorities and platforms.”

Authoring Tools

Resources

Customer data is more widely available than ever, but leveraging data to drive smarter decisions requires new thinking and a new kind of agility. Cloud-based decision management – the seamless marriage of data-driven insights and codified decision logic with applications that reach your customers where and when they want – is the key to operationalizing analytics to automate and optimize customer engagements. The FICO Analytic Cloud is where this journey begins…

Leveraging FICO’s decades of experience, insurers can use FICO analytic solutions and customer communications solutions can help maximize profitability, and reduce fraud, waste and abuse, while optimizing the customer experience.

Solution Architecture

FICO® Claims Fraud Solution

A powerful instrument to detect and prioritize fraud incidents

FICO® Claims Fraud Solution detects and prioritizes fraud incidents, so that most clients experience payback in a matter of months, not years. Built on FICO’s groundbreaking fraud analytics, the solution provides a completely integrated environment of continuous learning and sharpening that has proven effective in detecting and stopping fraud for real bottom line impact.With an easy-to-use business interface, carriers can input known fraud rules to stop fraud schemes early.Insurers can integrate the solution within their own case management system, or use FICO’s system for case identification, prioritization and workflow.

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The healthcare insurance industry in the Netherlands has undergone a major change in recent years. A mostly nationalized system ona few years ago, healthcare today is predominantly privatized, which puts intense pressure on insurers to be competitive. One of the five largest Dutch health insurance providers, Agis understands this pressure all too well. Fraud detection efforts at Agis included basic rules-based analysis and a forensics team that investigated any claims flagged as suspicious. Agis was looking to solve the challenges of:

Manual investigation

Data limitations

Inability to adapt

Read more about how they worked with FICO to solve these challenges, and more.